The five-year-old girl with a history of asthma was turned away from seeing the girl doctor because she was “late” – and died that evening in hospital.
A good inquest heard Ellie-May Clark had not been seen by Grange Clinic within Newport despite having an emergency visit because it operated a “10 moment rule”.
A chance to “provide potentially life-saving treatment was missed” said the coroner, giving the narrative verdict.
Following the hearing in Newport, Ellie-May’s loved ones said “she was let down”.
Ellie-May’s mother Shanice Clark told the particular inquest in Newport she asked for a home visit when her girl began wheezing and was not able to walk home from Malpas Courtroom Primary School in January 2015.
Instead, she has been offered an emergency slot for twenty five minutes later. She said the girl told the receptionist she could be late as she had to organize childcare and catch a tour bus.
Ms Clark stated when she arrived at the surgical procedure in the Malpas area of Newport the girl was five minutes late for her seventeen: 00 appointment but had voiced to the receptionist by 17: ten.
But this time had been disputed by former receptionist Ann Jones who told the inquest she believed it was 18 moments past five when the doctor has been informed that Ellie-May had showed up.
The child’s mom was then told by DOCTOR Dr Joanne Rowe, a partner within the surgery and its lead for kid safeguarding, that she would have to come back in the morning.
Nevertheless , the coroner heard this was the very first time the rule had been imposed with an emergency appointment.
Microsoft Clark said she was “angry” and “upset” when they were inquired to come back. She said Ellie requested: “Why won’t the doctor see myself? ”
Dr Rowe did not ask the reason behind Ellie-May’s crisis appointment, or look into her healthcare notes before refusing to see the girl.
The hearing had been told Ms Clark continued to evaluate her daughter at home every 10-15 minutes and at about 22: thirty she was coughing.
Ms Clark said Ellie-May after that fell off the bed and has been turning blue. She was delivered to the Royal Gwent Hospital within Newport by ambulance but passed away.
The inquest has been told that the cause of death has been bronchial asthma.
The family released the statement and were “disappointed that the finding of neglect was not reached”.
“The family recognize an apology from Dr Rowe, especially as they have been waiting more than three years for an outcome and to obtain answers to their questions, ” mentioned their lawyer Justin Chisnall.
The coroner will create a report to the clinic and the nearby health board to address the lack of a highly effective and robust care plan for Ellie-May.
A spokesman designed for Aneurin Bevan University Health Table said it would be “inappropriate to remark whilst we await the coroner’s report”.